Hospital Incident Management Team
Hospital Incident Management Team
Biologic/Infectious Disease Chemical Radiological Clinic Administration Hospital Administration Legal Affairs Risk Management Medical Staff Pediatric Care Medical Ethicist Risk Management
4. Current Hospital Incident Management Team (fill in additional positions as appropriate)
Incident Commander
Public Information Officer
Liaison Officer
Safety Officer
Medical-Technical Specialists
Access Control Unit Leader Crowd Control Unit Leader
Traffic Control Unit Leader
Search Unit Leader Law Enforcement Interface Unit Leader
Staging Manager
Medical Care Branch Director
Infrastructure Branch Director
Security Branch Director
HazMat Branch Director
Resources Unit Leader
Situation Unit Leader
Documentation Unit Leader
Demobilization Unit Leader
Support Branch Director
Time Unit Leader
Procurement Unit Leader
Compensation/ Claims Unit Leader
Cost Unit Leader
IT Systems and Applications Unit Leader Services Continuity Unit Leader Records Management Unit Leader
Detection & Monitoring Unit Leader Spill Response Unit Leader Victim Decontamination Unit Leader Facility/Equipment Decontamination Unit Leader
Power/Lighting Unit Leader Water/Sewer Unit Leader HVAC Unit Leader Building/Grounds Unit LeaderMedical Gases Unit Leader
Inpatient Unit Leader Outpatient Unit Leader Casualty Care Unit Leader Behavioral Health Unit Leader Clinical Support Unit Leader Patient Registration Unit Leader
Personnel Staging Team Leader
Vehicle Staging Team Leader
Equipment/Supply Staging Team
Leader
Medication Staging Team Leader
Personnel Tracking Manager Materiel Tracking Manager
Patient Tracking Manager Bed Tracking Manager
Communications Unit Leader IT/IS Equipment Unit Leader Food Services Unit Leader
Employee Health & Well-Being Unit Leader Supply Unit Leader Transportation Unit Leader Labor Pool & Credentialing Unit Leader Employee Family Care Unit Leader
Operations Section Chief
Planning Section Chief
Logistics Section Chief
Finance/Administration Section Chief
Service Branch Director
1. Incident Name
2. Operational Period (# ) DATE: FROM: __________________________ TO: __________________________ TIME: FROM: ___________________________ TO: _____________________________
Patient Family Assistance Branch Director
Business Continuity Branch Director
Social Services Unit LeaderFamily Reunification Unit Leader
purpose: The HICS 207 – Hospital Incident Management Team (HIMT) Chart provides a visual display of personnel assigned to the HIMT positions.
ORIGINATION: Prepared by the Incident Commander or designee (Resources Unit Leader) at the incident onset and continually updated throughout an incident.
COPIES TO: Distributed to the Command and General Staff and the Documentation Unit Leader. The HICS 207 is intended to be projected or wall mounted at the Hospital Command Center (HCC) and is not intended to be part of the Incident Action Plan (IAP).
Notes: Additions may be made to the form to meet the organization’s needs. Additional pages may be added based on need (such as to distinguish more branches or units as they are activated). Three versions of the HIMT Chart are available in the 2014 Hospital Incident Command System (HICS) Appendix C: Adobe Acrobat fillable PDF, Microsoft Word, and Microsoft Visio Drawing.
NUMBERTITLEINSTRUCTIONS1Incident NameEnter the name assigned to the incident.2Operational Period Enter the start date (m/d/y) and time (24-hour clock) and end date and time for the operational period to which the form applies.3Current Hospital Incident Management Team ChartEnter the names of the individuals assigned to each position on the Hospital Incident Management Team (HIMT) chart. Modify the chart as necessary, and add any lines/spaces needed for Command Staff assistants, agency representatives, and the organization of each of the General Staff sections.
